Hysterectomy among women with HIV

Indications and incidence

L. Stewart Massad, Charlesnika Evans, Kathleen Weber, Helen E. Cejtin, Elizabeth Golub, Kathy DiGilio, Amy Alpern, D. Heather Watts

Research output: Contribution to journalArticle

Abstract

OBJECTIVE: To describe hysterectomy rates and indications among women with HIV and to compare them with at-risk HIV-seronegative women. METHODS: Reports of hysterectomy were collected from 3752 participants in a prospective cohort study of women with HIV and comparison uninfected women. Available operative notes were retrieved and abstracted. Comparisons were made using the Fisher exact, χ, Wilcoxon 2-sample, and Student's t tests. RESULTS: Incident hysterectomy was performed for 106 (4.5%) of 2361 HIV-seropositive women, most often for cervical neoplasia, and for 24 (2.9%) of 837 HIV-seronegative women (P = 0.04). The incidence of hysterectomy was 7.7 per 1000 person-years for HIV-seropositive women and 5.3 per 1000 person-years for HIV-seronegative women (P = 0.09). HIV-seropositive and HIV-seronegative women undergoing incident hysterectomy were similar, except for a higher likelihood of an abnormal preoperative Papanicolaou test result in the former (P = 0.001). Surgical indications did not differ by serostatus. CONCLUSION: Women with HIV are more likely than uninfected women to require a hysterectomy, most often for cervical neoplasia.

Original languageEnglish (US)
Pages (from-to)566-568
Number of pages3
JournalJournal of Acquired Immune Deficiency Syndromes
Volume44
Issue number5
DOIs
StatePublished - Apr 2007

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Hysterectomy
HIV
Incidence
Papanicolaou Test
Neoplasms
Cohort Studies
Prospective Studies
Students

Keywords

  • HIV in women
  • Hysterectomy

ASJC Scopus subject areas

  • Virology
  • Immunology

Cite this

Massad, L. S., Evans, C., Weber, K., Cejtin, H. E., Golub, E., DiGilio, K., ... Watts, D. H. (2007). Hysterectomy among women with HIV: Indications and incidence. Journal of Acquired Immune Deficiency Syndromes, 44(5), 566-568. https://doi.org/10.1097/QAI.0b013e318032387a

Hysterectomy among women with HIV : Indications and incidence. / Massad, L. Stewart; Evans, Charlesnika; Weber, Kathleen; Cejtin, Helen E.; Golub, Elizabeth; DiGilio, Kathy; Alpern, Amy; Watts, D. Heather.

In: Journal of Acquired Immune Deficiency Syndromes, Vol. 44, No. 5, 04.2007, p. 566-568.

Research output: Contribution to journalArticle

Massad, LS, Evans, C, Weber, K, Cejtin, HE, Golub, E, DiGilio, K, Alpern, A & Watts, DH 2007, 'Hysterectomy among women with HIV: Indications and incidence', Journal of Acquired Immune Deficiency Syndromes, vol. 44, no. 5, pp. 566-568. https://doi.org/10.1097/QAI.0b013e318032387a
Massad, L. Stewart ; Evans, Charlesnika ; Weber, Kathleen ; Cejtin, Helen E. ; Golub, Elizabeth ; DiGilio, Kathy ; Alpern, Amy ; Watts, D. Heather. / Hysterectomy among women with HIV : Indications and incidence. In: Journal of Acquired Immune Deficiency Syndromes. 2007 ; Vol. 44, No. 5. pp. 566-568.
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